首页|Stent-assisted coiling of intracranial carotid ophthalmic segment aneurysm segment aneurysms:Long-term follow-up from a single center

Stent-assisted coiling of intracranial carotid ophthalmic segment aneurysm segment aneurysms:Long-term follow-up from a single center

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  • 国家科技期刊平台
  • NETL
  • NSTL
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Background:To evaluate the efficacy of stent-assisted coiling(SAC)for the treatment of carotid ophthalmic segment aneurysm segment aneurysms(OSAs)of the internal carotid artery(ICA)through detailed long-term follow-up of a large patient cohort.Methods:We retrospectively analyzed 88 consecutive patients with OSAs between January 2009 and January 2020 at our center.Angiographic results were evaluated using the modified Raymond grading system and clinical outcomes were evaluated using the mRS scale.The primary endpoints were major aneurysm recurrence and poor clinical outcomes for at least 18 months of follow-up.The patients were asked to attend clinical follow-up as-sessments and possibly undergo DSA or MR via telephone.Results:We enrolled 88 patients with 99 OSAs treated with coiling,of whom 76 were treated with SAC.The coiling procedures were successful in all 88 patients.Overall,complications occurred in 8 patients(9.1％).No procedure-related mortality was observed.67(76.1％)experienced immediate aneurysm occlusion at the end of the procedure.Long-term angiographic follow-up(18 months)was available in 45/88 aneurysms(51％)(average 18.7±5.2 months).Four patients continued their follow-up for 5 years after initial aneurysm treatment.After a clinical follow-up time of 28.7 months(range,12-51 months),85 patients(95.5％)achieved favorable clinical outcomes(mRS scores of 0-2).Conclusions:This study indicates that SAC treatment is a safe and effective therapeutic alternative for ruptured and unruptured OSAs.The procedural risks are low with relatively long-term effectiveness.

Endovascular treatmentStent-assisted coilingC6 segment aneurysmOcclusion rateLong-term follow-up

Wenquan Gu、Geng Zhou、Aizada Aldiyarova、Tengyue Liu、Yi Zhang、Weidong Liu、Lingping Meng、Binxian Gu、MingHua Li、Ming Su、Chen Su、Aihua Liu、Wu Wang

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Department of Radiology,Shanghai Punan Hospital,Shanghai,200125,China

Department of Interventional Neuroradiology,Beijing Tiantan Hospital,Capital Medical University,Beijing,100050,China

Chemotherapy Department,Multidisciplinary Medical Center of the Akimat of Astana,Astana,010009,Kazakhstan

Department of Orthopaedics,The Second Hospital of Jilin University,Changchun,Jilin,130041,China

Department of Interventional Radiology & Vascular Surgery,Zhongda Hospital,Medical School,Southeast University,Nanjing,210000,China

Department of Radiology,Shanghai Sixth People's Hospital Jinshan Branch,Shanghai,201599,China

Department of Diagnostic and Interventional Radiology,Shanghai Jiao Tong University Affiliated Sixth People's Hospital,Shanghai,200233,China

Shandong Academy of Traditional Chinese Medicine,7 Yanzishan West Road,Jinan,Shandong 250014,China

Department of Oncology,Jinan Central Hospital,Central Hospital Affiliated to Shandong First Medical University,No.105,Jie Fang Road,Jinan,250013,Shandong,China

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National Natural Science Foundation of ChinaNational Natural Science Foundation of ChinaNational Natural Science Foundation of ChinaOutstanding Clinical Discipline Project of Shanghai Pudong

813700418177123381671655PWYgy2018-04

2023

10.1016/j.jimed.2023.07.004

介入医学杂志(英文)

介入医学杂志(英文)

ISSN：
年,卷(期)：2023.6(3)
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